Printed blankj form



-2 Sheets-Sheet 1.

(Model.)

J. 0. COLE. PRINTED BLANK, FORM, &o.

Patented Dee. 11, 1883.

, @ESR.r-.,-.....,...... Ko e @i Se :Smtz S S 3% SB Nm .ww 3:3.:

im i

W/ TNESSES (Model.) l 2 sheetssnsheet 2. J. 0. COLE..

PRINTED BLANK, FORM, dw.

`k Patented Dec. 11, 188s.

HHHMODONY fbi. S S am. ma@

WIT/VESSES UNiren @rares Partnr @erica JOHN O..COLE, OF PORTSMOUTH, OHIO.

PRINTED BLANK, Fout/nabo.

SPECIFICATION forming part of Letters Patent No. 289,892, dated December 11, 1883.

. Application filed August 18. 1883. (Model.)

To all whom, it 'may concern:

Be it known that I, JOHN O. COLE, a citizen of the United States of America, residing at Portsmouth, in the county of Scioto and State of Ohio, have invented certain new and useful Improvements in Printed Blanks, Forms, and the like; and I do hereby declare the following to be a full, clear, and exact description of the invention, such as will enable others skilled in the art to which it appertains to make and use the same.

This invention relates to printed blanks or forms used in any office or business, especially to that class used by the United States pension agents.

. It is a well-known fact that in the offices of pension agents a great number of mistakes in filling out the blanks now in use arise in the duplication of the name of the pensioner to be written in each blank, and also that considerable time and labor are lost and expense required in backing these blanks or forms, since the name on the back must correspond in every particular with that written in the body of the blank or form.

To back accurately the blank, the clerk is required to have a good memory to remember the name as well as the relative arrangement v of the letters in the name after he has turned the blank over. If a doubt should arise in his mind as to the correct name or the letters in the name when he comes to write it upon the back of the form, he is obliged to turn the form to examine the face side of the sheet to see the accurate spelling of the name, and then re-turn the back and brief it. This turning and re-turning the blank or form consumes a great deal of time, as well as causes annoyance, and becomes a serious drawback in expediting the business of the office.

It is also a well-known fact that the dis bursing officer of the Treasury Department will not audit anyaccount in which there is any discrepancy in the names, numbers, or figures employed in the form and vouchers without correction by the agent. Also, it is a fact that when time is limited, and there isa rush of business, the check-clerk often gets the`name of the pensioner incorrectly spelled in making out the check from the voucher, because of the errors arising, as stated above, in duplicating the pensioners name, as is required in the l present formof vouchers in use. When these checks thus incorrectly drawn are presented to the Treasurer, payment is declined until-they are corrected by the agent. This also causes considerable time, trouble, and annoyance.

The objects of my invention are to obviate these serious difficulties and to expedite the business of offices.

My invention therefore consists in a printed blank or form having a briefing-section on its face containing a part of the filling-in space of the blank itself, as will be hereinafter more fully set forth.

In the annexed drawings, Figure l shows a plan view of a pension agent7 s printed voucher complete, except the duplicate receipt, with "my improvements applied thereto; and Fig. 2 .is a View of the same showing it in the act of being folded to be filed away. In the annexed gures, A represents a blank or form-in this example a voucher-divided into three parts-the body B, one or more receipts, C, and the side section, D, forming .the back when the blank is folded. The form with the spaces and lines to be filled in are all printed on one side face of the blank, as shown in Fig. 1.

By arranging all the printed or engraved matter on one side of the sheet or form, only one impression for the entire blank is required, while in the ordinary blank with printed or engraved matter on the back of the sheet two separate and distinct impressions are required to produce the blank for use. This arrangement of all the printed or stamped matter 0n one side of the sheet is a very important factor in the manufacture of blanks or forms, especially of the fancy or high-priced blanks, since it saves the cost and time of the double impressions, or the second passage ofthe blanks through the printing-press.

To lill out this blank thus printed, the name of the pensioner is written on the dotted line b on the side D, which line registers with the line commencing with the words do solemnly swear 7 in the body of the blank, the name being written on this dotted line, as shown. The writing in of the name at this point, which completes the line for the body of the blank, also at the same time supplies the name for the backing of the voucher-blank, thus obvi- IOO ating the repetition of the name. In' other respects the blank is lled out in the usual manner, except that I have improvedthe form of the oath or jurat by omitting a repetition of the name of the pensioner and number of the certificate, which omissions are a great advantage in the saving of time in duplicating the name of the pensioner andnumber of certiiicate, and avoids the errors that arise in such duplications. It also saves the auditingofficer, as well as the comparing-clerk, considerable time in the examination of the papers.

At the lower portion of the blank or form, on the side D, opposite the duplicate receipt, are printed the words Write pensioners address plainly here, and three or more dotted lines.

In'the annexed drawings, on account of space, the foregoing quoted words and written address are opposite the original receipt; but in the regular blanks this matter is opposite the duplicate receipt, which is retained by the pension agent, as it gives him a record of the l pensioners last address, which under the law he iS obliged or supposed to keep.

It is tov be noted here that in copying from the pension-rolls the name of the pensioner upon the blank voucher, the name written in on the dotted line b serving the double office for the body and back of the voucher, is closely compared with the correct name upon the rolls, and that all handling in turning and re-turning of the blanks is obviated; also, that the amount to be paid written on the side D of the blank can beverifiedbya comparison with line a b, with the pensioners address attached. v'Ihen the blank is folded with the original receipt on the lines c d and ef, with the face of the voucher folded in and the side section, D, folded outward, so as to expose the written name of the pensioner on the outside, in which condition it gives the name of the party, the amount paid, and date of payment, thus constituting the brief or backing of the voucher. The voucher is nonr passed to the auditingofficer, who examines it critically in connection with his record to see that it is properly executed and the correct amount has been paid. For the reasons above stated, this blank is of advantage to the auditor.

It is obvious that my improvements as specifically set forth in connection with the pension agents voucher may be applied to other printed blanks, forms, or letters, and therefore I reserve the right to apply the improvements to them.

I also reserve the right to vary the arrangement of the matter without departing fromV the spirit of the invention. For an example, the words Beit known that I77 can be arranged at the right-hand corner above the first line of the body of the blank.

Vhat I claim as myinvention, and desire to secure by Letters Patent, is-

A printed blank having a briefing-section on its face containing a part of the lling-in space of the blank itself, substantially as and for the purposes set forth.

In testimony whereof I affix my signature in presence of two witnesses. i

JOHN O- CQLl Vitnesses:

D. D. KANE, Q. L. TREvETr. 

